Leroy Jackson
Leroy Jackson is an Addiction (Substance Use Disorder) Counselor in Lancaster, California. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
45335 Sierra HwyLancaster, CA 93534-1611
Phone: (661) 949-8599
Fax: (661) 723-3179
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1891900155 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 11, 2007 |
| Last updated in NPPES | July 8, 2007 |
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